Publications by authors named "Anubhuti Rana"

9 Publications

  • Page 1 of 1

Pseudoamniotic band syndrome after bipolar cord coagulation in monochorionic twins complicated by twin-to-twin transfusion syndrome.

BMJ Case Rep 2021 Jul 13;14(7). Epub 2021 Jul 13.

Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, Delhi, India

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http://dx.doi.org/10.1136/bcr-2021-244471DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8278920PMC
July 2021

Perinatal outcome in monochorionic twin pregnancies after selective fetal reduction using radiofrequency ablation.

Int J Gynaecol Obstet 2021 Jun 12. Epub 2021 Jun 12.

Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, India.

Objective: To study the perinatal outcomes in women with complicated monochorionic twin pregnancies undergoing selective fetal reduction using radiofrequency ablation (RFA).

Methods: This retrospective study included 44 patients with monochorionic twin pregnancies, between 14 and 28 weeks of pregnancy, who underwent RFA for selective fetal reduction. Perinatal and maternal outcomes and procedure-related complications were analyzed.

Results: The procedure was technically successful in all 44 cases. Indications for selective fetal reduction included twin-to-twin transfusion syndrome (52.3%), twin reversed arterial perfusion (20.5%), twins discordant for anomaly (15.9%), and selective fetal growth restriction (11.4%). Median gestational age at procedure was 22  weeks (range 14-26 ). Live birth rate was 77.3% with three neonatal deaths; so overall survival was 70.5%. Median procedure-to-delivery interval was 12  weeks (range 2 -23). There were eight losses before 24 weeks of pregnancy, which included two co-twin deaths. Median gestational age at delivery was 35 weeks (interquartile range 32 -37 weeks). The preterm delivery rate was 66.7% (24/36) and preterm prelabor rupture of membranes (PPROM) occurred in 22.7% (10/44) of patients.

Conclusion: Selective fetal reduction using RFA is safe and effective in complicated monochorionic pregnancies. However, the rates of PPROM and preterm delivery remain high.
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http://dx.doi.org/10.1002/ijgo.13785DOI Listing
June 2021

A descriptive audit of healthcare workers exposed to COVID-19 at a tertiary care center in India.

Int J Gynaecol Obstet 2021 Jun 18;153(3):393-397. Epub 2021 Apr 18.

Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, India.

Objective: To provide a descriptive audit of healthcare workers (HCWs) exposed to COVID-19, and their contacts, to understand the dynamics of transmission among HCWs.

Methods: Retrospective analysis of contact tracing data of infected HCWs was done from March 1, 2020 to July 31, 2020 at a tertiary care center in New Delhi, India. Contacts were categorized according to the nature of contact and followed for 14 days.

Results: Qualitative RT-PCR testing was performed on 106 HCWs (from a total of 257) owing to exposure or development of symptoms. Positive results were found in 16 HCWs (6.2%) who were exposed to 120 other HCWs, generating 197 exposure incidents. Of these, 30 (15.2%) exposure incidents were high risk with multiple exposures in 48 (40.0%) HCWs. Exposure to infected HCWs was noted in 3 (18.8%) of 16 positive cases. Of the 197 exposure incidents, 54 (27.4%) were deemed avoidable exposures. Infection prevention and control policies were periodically reviewed, and the department implemented mitigating steps to minimize the risk to healthcare providers.

Conclusion: Instituting appropriate infection prevention and control policies and use of adequate precautions by HCWs is vital to minimize high-risk exposure to COVID-19.
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http://dx.doi.org/10.1002/ijgo.13691DOI Listing
June 2021

Restructuring fetal medicine services in a low-resource setting during the COVID-19 pandemic: Experience from a tertiary care fetal medicine center.

Int J Gynaecol Obstet 2020 11 1;151(2):291-293. Epub 2020 Sep 1.

Department of Obstetrics and Gynaecology, AIIMS, New Delhi, India.

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http://dx.doi.org/10.1002/ijgo.13337DOI Listing
November 2020

Rare association de la malformation de Dandy-Walker avec une méningocèle occipitale géante.

J Obstet Gynaecol Can 2021 Jul 6;43(7):796. Epub 2020 Feb 6.

Department of Obstetrics and Gynecology, Dr. Babasaheb Ambedkar Medical College and Hospital, New Delhi, India.

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http://dx.doi.org/10.1016/j.jogc.2020.01.005DOI Listing
July 2021

Rare Association of Dandy-Walker Malformation With a Giant Occipital Meningocele.

J Obstet Gynaecol Can 2021 Jul 5;43(7):795. Epub 2020 Feb 5.

Department of Obstetrics and Gynecology, Dr. Babasaheb Ambedkar Medical College and Hospital, New Delhi, India.

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http://dx.doi.org/10.1016/j.jogc.2019.09.027DOI Listing
July 2021

Isolated large bilateral choroid plexus cysts associated with trisomy 18.

BMJ Case Rep 2019 Mar 1;12(3). Epub 2019 Mar 1.

Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, Delhi, India.

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http://dx.doi.org/10.1136/bcr-2019-229216DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6398754PMC
March 2019

Safety of delayed umbilical cord clamping in preterm neonates of less than 34 weeks of gestation: a randomized controlled trial.

Obstet Gynecol Sci 2018 Nov 29;61(6):655-661. Epub 2018 Oct 29.

Department of Obstetrics and Gynecology, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India.

Objective: There is concern regarding the safety of delayed cord clamping (DCC) in babies born at less than 34 weeks' gestation. Therefore, the primary objective of this study was to compare the rates of hyperbilirubinemia and polycythemia during initial 7 days in infants born at less than 34 weeks' gestation and randomized to receive DCC by 120 seconds or early cord clamping (ECC) within less than 30 seconds.

Methods: One hundred pregnant women were randomly subjected to DCC or ECC at the time of birth in a tertiary referral hospital setting. Blood samples were obtained from each newborn at 48 hours and 7 days for hematocrit measurement. Serum bilirubin levels were estimated once the infant had clinically significant jaundice or at 72 hours. For the statistical analysis, the χ test, student's -test, or Wilcoxon rank sum test was used.

Results: The hematocrit was significantly higher in the DCC group than in the ECC group (<0.001). None of the babies had polycythemia. Mean total serum bilirubin level was 6.6 mg/dL in the DCC group and 8.7 mg/dL in the ECC group (<0.001). There was no increased risk of hyperbilirubinemia in the DCC group.

Conclusion: DCC benefits preterm neonates with no significant adverse effects.
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http://dx.doi.org/10.5468/ogs.2018.61.6.655DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6236088PMC
November 2018

Safety of Delayed Umbilical Cord Clamping in Preterm Neonates Less than 34 weeks Gestation.

Indian J Pediatr 2017 05 23;84(5):414. Epub 2017 Jan 23.

Department of Obstetrics and Gynecology, Maulana Azad Medical College, New Delhi, 110002, India.

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http://dx.doi.org/10.1007/s12098-016-2289-6DOI Listing
May 2017
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